Observational Study of Serratus Anterior Plane Block (SAPB) for Rib Fractures

This study is looking at how a pain treatment called the serratus anterior plane block (SAPB) affects adults with multiple rib fractures on one side of their body. The SAPB is a type of regional anesthesia, meaning it numbs a specific area to help with pain. Researchers want to see if SAPB, when given within 24 hours of injury, can reduce problems like pneumonia (a lung infection), shorten how long people stay in the hospital, and improve their overall recovery and survival, compared to standard pain medicines. You might be able to join if you are over 18, have at least two rib fractures on one side, and are being treated in the Emergency Department at Jacobi Medical Center within 24 hours of your injury. The study is currently observational, meaning researchers will watch and collect information, but the recruitment status is unclear.

Study design
This is an observational study, meaning researchers will collect information about patients' experiences. It plans to include about 220 participants.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed from their emergency department arrival until hospital discharge, and up to 90 days after injury, to track outcomes like pneumonia, hospital stay, and discharge plans.

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NCT07032766

Assessment of Morbidity and Mortality Following Serratus Anterior Plane Block (SAPB) for Unilateral Rib Fractures

Recruiting
Not specifiedAges 18+Observational
Albert Einstein College of Medicine
~220 participants
Updated 2026-08-19 on ClinicalTrials.gov

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Number of Patients with Hospital Acquired Pneumonia (HAP) Events
Measured over From time of ED arrival until hospital discharge, up until 90 days
+4 more outcomes measured
Pain Management
Rib Fracture Multiple
Serratus Anterior Plane Block
1 sites across 1 states
New York1
  • Michelle Montenegro, MD · PRINCIPAL_INVESTIGATOR · Albert Einstein College of Medicine, Jacobi medical center

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Eligibility criteria

Inclusion

Patients over 18 years of age being treated in the Emergency Department at Jacobi Medical Center
Presenting within 24 hours of injury
Patient with 2 or more unilateral, anterior or lateral rib fractures
Able to provide consent (patient or health care proxy)
Clinical team believes the patient will require inpatient admission at the time of enrollment

Exclusion

Patients in traumatic arrest or hemodynamic instability
Patient expected to be discharged from the hospital within 24 hours
Prisoner
Pregnancy
Children less than 18 years of age
The patient is known or is suspected to be allergic to anesthetic
Significant pain from another traumatic and distracting injury
Patients without the ability to consent (or no health care proxy to consent)
Patients with bilateral or posterior rib fractures
  • Number of Patients with Hospital Acquired Pneumonia (HAP) EventsFrom time of ED arrival until hospital discharge, up until 90 days

    The number of patients of hospital acquired pneumonia events will be summarized by study arm/group using basic descriptive statistics.

  • Days of Hospital Length of StayED arrival to hospital discharge, up until 90 days

    For purposes of this study, length of hospital stay will be defined as the total duration of admission and will be recorded in total number of days (from ED admission to discharge) and summarized by study arm/group using basic descriptive statistics. Discharge may include to acute rehabilitation (located in the hospital but not considered in calculation for length of stay).

  • Discharge DispositionED admission to discharge , up until 90 days

    Discharge Disposition will encompass the location to which the patient is discharged (i.e., home, home with Physical Therapy (PT), subacute rehabilitation, acute rehabilitation, or deceased). Disposition types will be categorically itemized and summarized by study arm/group.

  • Length of stay (Days) in the Intensive Care Unit (ICU)ED admission to hospital discharge, up until 90 days

    For purposes of this study, ICU length of stay will be defined as the total number of days of admission to an ICU and will be summarized by study arm/group using basic descriptive statistics. If a patient is discharged from the ICU and subsequently returns to the ICU, the total duration of admission will be aggregated.

  • Cause of deathED admission until hospital discharge, up until 90 days

    If a patient is "discharged as deceased" (see prior outcome measure) the cause of death will be recorded, if known, and summarized by study arm/group.